The impact of sporotrichosis in HIV-infected patients: a systematic review

Infection. 2015 Jun;43(3):267-76. doi: 10.1007/s15010-015-0746-1. Epub 2015 Feb 21.

Abstract

Sporotrichosis is a fungal infection of man and animals caused by Sporothrix complex. It usually presents as a lymphocutaneous form, but disseminated disease may occur. Given the paucity of data about HIV/AIDS and sporotrichosis co-infection, a systematic review of reported cases of HIV-associated sporotrichosis found via Pubmed (1984-2013) was done. A total of 39 papers were included, and 58 patients' data analyzed. Thirty-three (56.9 %) cases were from Brazil and 18 (31 %) from the USA. Patients' mean age was 37.8 ± 10.4 years; males predominated (84.5 %). The median CD4(+) cell count was 97 cells/mm(3). The most common clinical forms were disseminated and disseminated cutaneous with 33 (56.9 %) and 10 (17.5 %) patients, respectively. There was a correlation between CD4(+) count and clinical categories (p = 0.002). Mortality was 30 % and there was a correlation between central nervous system involvement and death (p < 0.001).

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Age Distribution
  • Animals
  • Brazil / epidemiology
  • CD4 Lymphocyte Count
  • HIV Infections / complications*
  • HIV Infections / immunology
  • Humans
  • Sex Distribution
  • Sporothrix / isolation & purification*
  • Sporotrichosis / epidemiology*
  • United States / epidemiology